You are here

Portelet House Care Home Good

Reports


Inspection carried out on 26 January 2019

During a routine inspection

Portelet House Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Portelet House Care Home was registered for 15 people. There were 14 older people living in the home at the time of our inspection. The home is an adapted building in a residential area of Bournemouth. People had a variety of care and support needs related to their physical and mental health. The majority of people living in the home had needs associated with dementia.

This unannounced inspection took place on 26 January 2019.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated good.

People continued to receive a service that was safe. The registered manager and staff understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. There were enough staff to safely provide care and support to people. Checks were carried out on staff before they started work to assess their suitability to support vulnerable people. Medicines were mostly well managed and people received their medicines as prescribed. Information about when to give some medicines was checked and recorded following our visit. The home was clean and staff followed the providers infection control policy and procedures.

The service remained effective in meeting people’s needs. People were cared for by staff who felt supported and had access to effective training. People had access to healthcare professionals for both ongoing and emergency treatments. The manager and staff worked to ensure people's rights were respected. People were supported to enjoy a healthy and varied diet. The environment had been decorated to reflect the needs of people living in the home.

The service continues to be caring. Staff were motivated to provide a caring service to people. They spoke warmly of people and worked in ways that respected and promoted their dignity.

The service was responsive to people’s needs. People’s preferences were evident in their care plans and the staff understood how they communicated their wishes and emotions. Changes in people’s needs were quickly identified and their care was amended accordingly. People and their relatives felt able to make requests, raise concerns and express their views. They felt listened to by care staff and the management team. We have made a recommendation about the recording of discussions with people about their end of life wishes.

The service continues to be well led. Staff understood their roles and shared the vision of ensuring a homely environment where people received personalised care. The manager had applied to be registered with the Care Quality Commission and demonstrated their commitment to ensuring positive outcomes for people and staff and improving the quality of people’s experience. There were processes in place to monitor quality and understand the experiences of people who used the service.

Inspection carried out on 29 June 2016

During a routine inspection

This was an unannounced comprehensive inspection that took place on 29 June and 1 July 2016. At the last inspection, carried out in October 2013, we found the provider was compliant with the regulations and standards we reviewed.

Portelet House provides accommodation and personal care for up to 15 older people in a small, homely environment. At the time of the inspection there were 13 people living at the home.

There was no registered manager at the home at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The last registered manager ceased working at the home in September 2015. A new manager has been appointed to manage Portelet House and has applied to register as manager.

Overall, we found people were being well cared for and supported at Portelet House.

The home was well managed with established monitoring and auditing systems to make sure that the environment and way people were looked after were safe. Risk assessments had been completed to make sure that care was delivered safely with action taken to minimise identified hazards. The premises had also been risk assessed to make that the environment was safe for people.

Staff had been trained in safeguarding adults and were knowledgeable about the types of abuse and how take action if they had concerns.

Accidents and incidents were monitored to look for any trends where action could be taken to reduce chance of their recurrence.

Sufficient staff were employed at the home to meet the needs of people accommodated.

There were recruitment systems in place to make sure that suitable, qualified staff were employed at the home.

Medicines were managed safely.

The staff team were both knowledgeable and suitably trained.

There were good communication systems in place to make sure that staff were kept up to date with any changes in people’s routines or care requirements.

Staff were well supported through supervision sessions with a line manager, and an annual performance review.

Staff and the manager were aware of the requirements of the Mental Capacity Act 2005 and acted in people’s best interests where people lacked capacity to consent. The majority of people accommodated had capacity to make their own decisions for all aspects of their lives. They were all consulted about and had given consent to their care and support.

The home was compliant with the Deprivation of Liberty Safeguards, with appropriate referrals being made to the local authority.

People were provided with a good standard of food, appropriate to their needs.

People and staff were very positive about the standards of care provided. People were treated compassionately as individuals, with staff knowing people’s needs.

People’s care needs had been thoroughly assessed and care plans put in place to inform staff of how to care for people. The plans were person centred and covered all areas of people’s needs. The plans we looked at in depth were up to date and accurate. It was agreed that for people with mental health needs, their care plans would be developed to further support these needs.

Staff and the manager took action when people’s needs changed or responding to newly assessed needs.

Some activities were arranged by members of the staff team.

There were complaint systems in place and people were aware of how to make a complaint.

Should people need to transfer to another service, systems were in place to make sure that important information would be passed on so that people could experience continuity of care.

The home was well led. There was a very positive, open culture in the home.

There were systems in place to audit and monitor the quality of service prov

Inspection carried out on 17 October 2013

During a routine inspection

People were treated with respect and in ways that maintained their privacy and dignity. We observed staff interacting with people living at Portelet House and found they were respectful. When they provided care and support to people in shared rooms, they were mindful of people�s privacy and provided information and reassurance. We spoke with two relatives who told us in their experience staff consistently acted in ways that ensured people�s privacy and dignity were protected.

During our inspection we reviewed the records of ten staff and found their training was extensive and comprehensive. We spoke with four staff who told us their training was excellent and they felt well supported by the manager and deputy. In addition, they received regular supervision and annual appraisals. This meant staff were trained and supported to provide care and support that met people�s needs.

Inspection carried out on 5 December 2012

During a routine inspection

In this report the name of Mr. Jean Moocarme a registered manager appears. He was not in post or managing Portelet House at the time of the inspection. His name appears because it was still on our register at the time.

There were 10 people living at Portelet House at the time of our inspection. We were unable to obtain their views because of their mental and physical frailty. We gathered evidence of people�s experiences of the service by reviewing relevant records, observing how care staff interacted with people and talking with visitors.

We saw that care staff encouraged people to retain their skills and independence and provided them with the support they needed.

Visiting relatives and a healthcare professional we spoke with were complimentary about the care people received.

The provider had arrangements in place that ensured that the building and equipment used to provide specialist care and treatment people required was safe and properly maintained.

We saw that the provider�s recruitment procedures ensured people�s suitability to work with vulnerable adults was checked before they started work at the home.

Care staff we spoke with told us there were always enough of them on duty to meet people�s needs. They said they received regular training about health and safety matters.

There were arrangements in place to monitor the quality of the service provided and to check that the provider�s procedures were implemented properly.

Inspection carried out on 12 June 2012

During an inspection in response to concerns

We carried out an inspection visit to Portelet House on Tuesday 12 June 2012 because we had received information from an anonymous source. It alleged that people living in the home were being neglected, receiving a poor standard of care and their dignity was being compromised.

We used a number of different methods to help us understand the experiences of people using the service. This was because they had complex needs which meant they were unable to tell us what it was like to live at Portelet House. For example we spent almost an hour watching and observing the help and support people received. We also spoke to the relatives of three people and telephoned a health care professional who regularly visited the home.

We looked at the records the home kept about five people including two of the people we observed and whose relatives we spoke with. We also spoke with three staff who were on duty at the time of our inspection visit. This was in order to see what they knew and understood about the care needs of the people whose records we looked at.

We noted that staff generally encouraged and supported people appropriately.

All the visiting relatives we spoke with told us they visited the home regularly. The relatives of two of the people living at the home expressed very positive views about the home and the care their relatives received. The third relative expressed several concerns.

A health care professional who visited the home frequently told us that they had no concerns about the home. They said that in their view people were well looked after. They told us the staff were observant and skilled at identifying problems that required their help.

Inspection carried out on 7 October 2011

During a routine inspection

We were unable to obtain comprehensive views from anyone living at Portelet House because everyone accommodated at the home had enduring mental health problems such as dementia. We could not speak to anyone who was able to express opinions about the outcome groups we were assessing. Consequently many of the experiences of people living in the home that we refer to in our report were based on our observations of the support that we saw staff providing for individuals. They were also based on the views about the service that we were able to obtain from four visitors who were visiting their respective relatives living at the home.

We observed some of the day to day routines in the home and we were able to conclude from demeanour and behaviour of people living and working in Portelet House the nature and quality of the various interactions that we witnessed. We saw that relationships between staff and people living in the home were friendly, relaxed and informal. We staff helping and supporting individuals' in a number of different situations. These included, using hoists to transfer people from wheelchairs, helping people to eat at meal-times, supporting them to take medicines that they required and enabling them to participate in social activities. In all these situations we saw that staff were polite, sensitive, and when supporting people doing it in ways that promoted and respected their choices and promoted their dignity, privacy and independence.

Visiting relatives said that the care that Portelet House provided was �fantastic�, �outstanding� and �second to none� and that the staff were �excellent�. They told us that they were involved in decisions about the care their relatives received and regularly sent questionnaires to obtain their views about the quality of care that the home provided.

Reports under our old system of regulation (including those from before CQC was created)